RetryHub — US Merchant Account Application

Applicant Information

First Name*

Last Name*

Date of Birth*

US Citizen?*

Yes No

SSN# or TIN#*

🔒 Encrypted and secure

Driver's License or Passport #*

Street Address*

Apt / Unit / Lot No.

City*

State*

Zip Code*

Phone Number*

Mobile Number

Email (to receive/sign application)*

Customer Service Phone #

Customer Service Email

Business Information

Legal Business Name*

DBA Name

Federal TAX ID (EIN#)*

Business Type*

Incorporation Date

Website URL*

Sales Method*

Average Ticket ($)*

Monthly Volume ($)*

Banking Information

Name on Bank Account*

Bank Name*

Bank Phone #

Routing #*

Checking Account #*

🔒 Encrypted and secure

Business Questionnaire

Description of Product/Service Sold*

Return / Cancellation / Refund Policy*

Top Country for Sales*

% of Non-US Sales

% Sales to Consumers

% Sales to Businesses

Where is Product Stored/Fulfilled From?

When Does Customer Pay?

Average Delay Until Shipped After Sale

Previous Processing History?*

Yes No

Recurring Transactions / Auto-Renewals?*

Yes No

Have You Applied Elsewhere? If Yes, Where?

How Many Merchant Accounts Do You Need?

Which Gateway Do You Want?

What is Your Telegram Username?

How Did You Hear About RetryHub?

Additional Information / Notes

📋 Important Next Steps After Submitting

Once you submit this application, please email the following documents to help@retryhub.com:

Void Check or Bank Letter
Passport or Driver's License
Articles of Incorporation
Fulfillment Agreement or Product Photos (if applicable)

Or message us directly on Telegram @RetryHubBot

✅

Application Received!

Thank you. You will be contacted with next steps and/or offers within 24 hours. Questions? Email help@retryhub.com.

Important Next Steps:

Email a Void Check or Bank Letter to help@retryhub.com
Email your Passport or Driver's License
Email your Articles of Incorporation
Email your Fulfillment Agreement or Product Photos (if applicable)

🇺🇸 US Merchant Account Pre-Application

📋 Important Next Steps After Submitting

Application Received!

Important Next Steps: